Wahi a ka International Agency for Research on Cancer of the World Health Organization, i ka makahiki 2020, ua loaʻa iā Kina ma kahi o 4.57 miliona mau hihia kanesa hou, me ke kanesa māmā e helu ana ma kahi o 820,000 mau hihia. Wahi a ka Chinese National Cancer Center's "Guidelines for Lung Cancer Screening and Early Diagnosis and Treatment in China," ʻo ka nui o ka maʻi a me ka make ʻana o ke kanesa māmā ma Kina he 37% a me 39.8% o nā helu helu honua. ʻOi aku kēia mau helu ma mua o ka hapa o ka heluna kanaka o Kina, ʻo ia hoʻi ma kahi o 18% o ka heluna kanaka o ka honua.
Wehewehena a meNā ʻano liʻiliʻio ke Kanesa Mama
Wehewehena:ʻO ke kanesa maʻi akemāmā bronchogenic mua, i ʻike nui ʻia ʻo ke kanesa o ka māmā, ʻo ia ka puʻupuʻu malignant mua maʻamau i puka mai ka trachea, ka mucosa bronchial, nā bronchi liʻiliʻi, a i ʻole nā glands i loko o nā māmā.
Ma muli o nā ʻano histopathological, hiki ke hoʻokaʻawale ʻia ke kanesa māmā i loko o ke kanesa māmā ʻaʻole liʻiliʻi (80%-85%) a me ke kanesa māmā kelepona liʻiliʻi (15%-20%), nona ke kiʻekiʻe o ka maʻi ʻino. ʻO ke kanesa māmā ʻaʻole liʻiliʻi e komo pū me ka adenocarcinoma, squamous cell carcinoma, a me ka carcinoma cell nui.
Ma muli o ka wahi o ka hanana, hiki ke hoʻokaʻawale hou ʻia ke kanesa o ka māmā i ke kanesa o ka māmā waena a me ke kanesa o ka māmā peripheral.
Ka Hōʻailona Pathological o ke Kanesa Mama
Ka maʻi ʻaʻai māmā waena:Pili i ka maʻi ʻaʻai māmā e puka mai ana mai ka bronchi ma luna o ka pae segmental, ʻo ia hoʻi kaka maʻi kanesa cell squamous a me ka maʻi kanesa māmā cell liʻiliʻi. Hiki ke loaʻa ka ʻike pathological ma o ka fiber bronchoscopyHe paʻakikī ke ʻoki ʻoki ʻana i ke kanesa māmā waena, a pinepine i kaupalena ʻia i ka ʻoki piha ʻana o ka māmā holoʻokoʻa i hoʻopilikia ʻia. Hiki i nā mea maʻi ke paʻakikī i ka ʻae ʻana i ke kaʻina hana, a ma muli o ke kahua holomua, ka hoʻouka kaua kūloko, ka metastasis o ka lymph node mediastinal, a me nā kumu ʻē aʻe, ʻaʻole paha kūpono nā hopena ʻoki, me ka nui o ka pilikia o ka metastasis iwi.
Ka maʻi ʻaʻai māmā peripheral:Pili i ka maʻi ʻaʻai māmā e kū ana ma lalo o ka bronchi segmental,ʻo ia hoʻi ka adenocarcinoma. ʻO ka maʻamau, loaʻa ka ʻike pathological ma o ka biopsy nila transthoracic percutaneous i alakaʻi ʻia e ka CT.I ka hana lapaʻau, ʻaʻohe hōʻailona o ka maʻi ʻaʻai māmā peripheral i nā pae mua a ʻike pinepine ʻia ma ke ʻano ulia pōpilikia i ka wā o ka hoʻokolokolo kino. Inā ʻike mua ʻia, ʻo ke ʻoki kino ke koho lapaʻau mua, a ukali ʻia e ka chemotherapy adjuvant a i ʻole ka lāʻau lapaʻau i kuhikuhi ʻia.
No nā poʻe maʻi kanesa māmā i kūpono ʻole no ke ʻoki kino, ua hōʻoia ʻia kahi hōʻailona pathological e pono ai ka mālama ʻana ma hope, a i ʻole e koi ana i ka hahai mau ʻana a i ʻole ka mālama ʻana ma hope o ke ʻoki kino,he mea nui loa ka mālama kūpono a me ke kūlana kūponoMakemake mākou e hoʻolauna iā ʻoe iKauka An Tongtong, he loea kaulana i ka oncology thoracic me ka ʻoi aku o 20 mau makahiki o ka ʻike ma ka oncology lapaʻau ma ke Keʻena o Thoracic Oncology, Beijing University Cancer Hospital.
Ka Loea Kaulana: Kauka An Tongtong
Kauka Lapaʻau Nui, Kauka Lapaʻau. Me ka ʻike noiʻi ma MD Anderson Cancer Center ma ʻAmelika Hui Pū ʻIa, a he lālā o ke kōmike ʻōpio o ke Kōmike ʻOihana Kanesa Mama o ka Hui Kūʻē i ka Maʻi Kanesa Kina.
Nā Māhele o ka ʻIke:ʻO ka Chemotherapy a me ka lāʻau lapaʻau i hoʻolālā ʻia no ka maʻi ʻaʻai māmā, thymoma, mesothelioma, a me nā kaʻina hana diagnostic a me therapeutic e like me ka bronchoscopy a me ke ʻoki kino thoracic i kōkua ʻia e ke wikiō i ka lāʻau lapaʻau kūloko.
Ua hana ʻo Kauka An i kahi noiʻi hohonu e pili ana i ka hoʻohālikelike ʻana a me ka mālama piha ʻana o ka maʻi ʻaʻai māmā kiʻekiʻe.ʻoi aku hoʻi i loko o ka pōʻaiapili o ka mālama piha pilikino no ka maʻi ʻaʻai māmā ʻaʻole liʻiliʻi. He akamai ʻo Kauka An i nā alakaʻi diagnostic a me therapeutic honua hou loa no nā ʻōpū thoracic.I ka wā o nā kūkākūkā ʻana, hoʻomaopopo piha ʻo Kauka An i ka mōʻaukala lapaʻau o ka mea maʻi a nānā pono i nā loli o ka maʻi i ka hala ʻana o ka manawa. Nīnau pono pū ʻo ia e pili ana i nā hoʻolālā diagnostic a me nā lāʻau lapaʻau ma mua e hōʻoia i ka hoʻoponopono kūpono ʻana o ka hoʻolālā lapaʻau pilikino kūpono loa no ka mea maʻi. No nā mea maʻi i ʻike hou ʻia, ʻaʻole i piha pinepine nā hōʻike pili a me nā hoʻokolohua. Ma hope o ka loaʻa ʻana o kahi hoʻomaopopo maopopo o ka mōʻaukala lapaʻau, e wehewehe pono ʻo Kauka An i ke ʻano lapaʻau no ke kūlana o kēia manawa i ka mea maʻi a me ko lākou ʻohana. E hāʻawi pū ʻo ia i ke alakaʻi no nā hoʻokolohua hou e pono ai e kōkua i ka hōʻoia ʻana i ka hōʻailona, e hōʻoia ana e hoʻomaopopo piha nā ʻohana ma mua o ka ʻae ʻana iā lākou a me ka mea maʻi e haʻalele i ka lumi kūkākūkā me ka maluhia o ka noʻonoʻo.
Nā Hihia Hou
Ua ʻimi ʻo Mr. Wang, he maʻi adenocarcinoma māmā he 59 ona makahiki me nā metastases systemic he nui, i ka mālama lapaʻau ma Beijing i ka wā o ke ahulau i ka hopena o 2022. Ma muli o nā kapu huakaʻi i kēlā manawa, pono ʻo ia e loaʻa i kāna pōʻai mua o ka chemotherapy ma kahi haukapila kokoke ma hope o ka hōʻoia ʻia ʻana o ka maʻi pathological. Eia nō naʻe, ua loaʻa iā Mr. Wang ka nui o ka ʻawaʻawa chemotherapy a me ke kūlana kino maikaʻi ʻole ma muli o ka hypoalbuminemia concomitant.
I kona hoʻokokoke ʻana aku i kāna lua o ka chemotherapy, ua nīnau kona ʻohana, me ka hopohopo e pili ana i kona kūlana, e pili ana i ka ʻike loea o Kauka An a ua holomua i ka hoʻonohonoho ʻana i kahi manawa ma ka lawelawe VIP Outpatient o kā mākou Halemai. Ma hope o ka loiloi kikoʻī ʻana i ka mōʻaukala lapaʻau, ua hāʻawi ʻo Kauka An i nā ʻōlelo aʻoaʻo lapaʻau. Ma muli o nā pae albumin haʻahaʻa o Mr. Wang a me nā hopena chemotherapy, ua hoʻoponopono ʻo Kauka An i ka regimen chemotherapy ma ka hoʻololi ʻana i ka paclitaxel me ka pemetrexed me ka hoʻokomo ʻana i nā bisphosphonates e kāohi i ka luku ʻia ʻana o ka iwi.
Ma hope o ka loaʻa ʻana o nā hopena hoʻāʻo genetic, ua hoʻohālikelike hou ʻo Kauka An iā Mr. Wang me kahi lāʻau lapaʻau kūpono, ʻo Osimertinib. ʻElua mahina ma hope mai, i ka wā o kahi kipa hahai ʻana, ua hōʻike ka ʻohana o Mr. Wang ua hoʻomaikaʻi ʻia kona kūlana, me ka emi ʻana o nā hōʻailona a me ka hiki ke komo i nā hana e like me ka hele wāwae, ka hoʻoinu ʻana i nā mea kanu, a me ka pulumi ʻana i ka papahele ma ka home. Ma muli o nā hopena o ka hoʻokolokolo hahai ʻana, ua aʻo aku ʻo Kauka An iā Mr. Wang e hoʻomau i ka hoʻolālā lapaʻau o kēia manawa a hana i nā nānā maʻamau.
Ka manawa hoʻouna: Aug-31-2023